Individual provider Active NPI

Melanie Maltese, FNP-C

  • Nurse Practitioner
  • Eagle, ID
National Provider Identifier
1013653914
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71998 Issued in ID
Practice address
150 E Riverside Dr Ste 100
Eagle, ID 83616-6088
Phone
(208) 286-4205
NPI assigned
May 12, 2022
Last updated
May 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71998 ID Primary

Addresses

Primary practice location

150 E Riverside Dr Ste 100
Eagle, ID 83616-6088

Mailing address

150 E Riverside Dr Ste 100
Eagle, ID 83616-6088
Phone (208) 286-4205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002402 ID Practitioner - Nurse Practitioner 2365819505 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Habits Wellness Clinic IncGroup PAC ID 6406912997, 2 clinicians

Practice addresses (Care Compare)

14 S Baltic PL
Meridian, ID 83642-5935
Phone (208) 887-4872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Sense Corporation Family Medicine CurrentSince Sep 5, 2022 Accepting new patients
Larkspur Integrative Health LLC Current Accepting new patients

Locations

1075 N Curtis Rd
Ste 100
Boise, ID 83706
Phone (208) 377-5166

150 E Riverside Dr
Ste 100
Eagle, ID 83616
Phone (208) 286-4205

1588 W Cayuse Creek Dr
#100
Meridian, ID 83646
Phone (208) 377-5166

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1013653914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E RIVERSIDE DR STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166088",
            "telephone_number": "208-286-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E RIVERSIDE DR STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166088",
            "telephone_number": "208-286-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTESE",
        "first_name": "MELANIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "71998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.